Standard Operating Procedure Hospital Pre-alert & Patient Handover
|
|
- Brianne McCoy
- 6 years ago
- Views:
Transcription
1 Standard Operating Procedure Hospital Pre-alert & Patient Handover No of Pages: 6 Unique reference No: Implementation date: 17 th May 2010 Version: Final Version 2.0 Next review date: May 2013 Title of author: Owning Department: Clinical Support Officer (GT) Clinical Ratification Committee: Date Ratified: Executive Management Group 17 th February 2010 To be read in association with the following Trust documents; Target audience: All Trust EMS/HDS staff conveying patients to Accident and Emergency Hospital Departments Version History Version Date Status Comment /12/ 08 Clinical /12/08 Clinical Consultation process prior to Approval Equality Impact Assessment /02/09 Clinical /03/09 Clinical /07/09 Clinical 1.4 9/12/09 Clinical /02/10 Clinical Final Final Approved Consultation process. Control/LAO/A/E/CTL/Staff Side Changes after consultation with stakeholders Final draft for submission to Workforce Policies and Procedures Working Group (24/09/09). Clarity on use of ASHICE section 3.0. Reference to SBAR section 4, following feedback from WPPWG Executive Management Committee Please Note: This document is available in other languages, large print and audio format on request 1
2 1.0 Purpose The aim of this Standard Operating Procedure is to ensure that the Welsh Ambulance Services NHS Trust (WAST) has a consistent approach to prealerting receiving hospitals. Providing an appropriate level of information about a patient s condition allows receiving hospitals to determine the level of preparation and staff required to receive a critically ill or injured patient. Concise and accurate information transfer between the crew, control and the receiving hospital also reduces the need for unnecessary communications, thereby reducing the burden on busy ambulance control centres. 2.0 Scope This Standard Operating Procedure provides guidance to operational ambulance crews, ambulance control staff and hospital staff working in receiving units. This SOP is applicable to all types of critically ill or injured patients, e.g. trauma, medical, obstetric, and supersedes any other Regional or National WAST policy relating to hospital pre-alerts. It is also commensurate with the recommendations of; Better Care for the Severely Injured a joint report published by the Royal College of Surgeons and the British Orthopaedic Association, July 2000 The Joint Royal Colleges Ambulance Liaison Committee UK Clinical Practice Guidelines National Institute of Health & Clinical Excellence (NICE) Head injury: Triage, assessment, investigation and early management of head injury in infants, children and adults National Confidential Enquiry into Patient Outcome and Death, Major Trauma Report
3 3.0 Criteria for Initiating a Hospital Pre-alert (ASHICE) An ASHICE message should be considered for any patient whose clinical condition suggests that special arrangements have to be made by the receiving hospital, to prepare for the patients arrival. e.g. trauma, medical, or paediatric teams; urgent cardiac assessment (early thrombolysis), or obstetric emergencies. ASHICE messages should not be used for routinely informing DGH s of all non- critical imminent patient arrivals. The following criteria are not exhaustive and provide guidance only. 3.1 Trauma Severe airway compromise or intubated patient Severe respiratory distress Haemodynamically unstable patients (signs and symptoms of shock). GCS < 9 or fall in GCS of more than 2 points since patient contact Casualty ejected from vehicle Penetrating injury to the trunk Any gunshot wound Significant mechanism of injury (the common sense approach) Inhalation burns Child burns > 10% Adult burns > 15% Any other condition giving the attending staff cause for concern 3.2 Medical Airway compromise Severe breathlessness/distress Failing ventilation Severe haemorrhage Circulatory collapse and shock due to infection Cardiac chest pain. Cardiac patient with any ST elevation indicative of an acute myocardial infarction Cardiogenic shock Severe Hypotension due to bradycardia or extreme tachycardia Anaphylaxis Unconsciousness Status epilepticus Any other condition giving the attending staff cause for concern 3
4 3.3 Obstetric and Gynaecology Haemorrhage where systolic BP is <100mmhg or pulse rate >90bpm Tender uterus (with or without haemorrhage) Systolic blood pressure >160mmhg or diastolic blood pressure >95mmhg Convulsion either active or any history during pregnancy GCS <15 Obstructed labour Vulval presentations (Feet, Head, Breech presentations, or Membranes) Pre-term labour (before 37 weeks or 3 weeks of estimated date of delivery EDD) Birth imminent or baby born during transport Signs of foetal distress (meconium) Any other condition giving the attending staff cause for concern 3.4 Having confirmed a patient meets the criteria for an ASHICE, concise and appropriate information should be passed to ambulance control using the A.S.H.I.C.E format as detailed below. (An aide memoir can be found in appendix 1 of this document and may be printed off and used by hospital receiving units). A Age S Sex (Gender) H History I Injury/Illness C Condition E Estimated time of arrival (ETA) Laminated copies of the aide memoir (appendix 1) will also be available for reference on all front line vehicles and in ambulance controls. 3.5 On receipt of an ASHICE from the crew, EMS Control will record the information on the MIS system and repeat the ASHICE back to the crew to ensure accuracy. The crew will then confirm its accuracy. 3.6 EMS control will contact the appropriate receiving hospital department and relay the crews ASHICE message. On completion, EMS Control will ask the member of hospital staff receiving the ASHICE message to repeat the information, to ensure its accuracy and correct or confirm as required. 4
5 3.7 There should be no further need for additional communication between EMS Control or the hospital department unless there is a significant change in the patient s condition. Based on the information received, the receiving hospital can determine the level of response required. NB. It should be noted that the ASHICE aide memoir (appendix 1) is a generic format to ensure a consistent level of information is passed. Whilst it is recognised there may be some merit in developing specific formats for certain categories of patients, the most important point is that the information passed is relevant to the individual patient and their condition. 4.0 Patient Handover 4.1 On arrival at the receiving unit the ambulance clinician will provide an initial concise verbal handover to the receiving team, to ensure the patient is directed quickly to the most appropriate acute treatment area. 4.2 On arrival at the treatment area, the receiving team should be provided with a more detailed and holistic handover, which can be supported by use of the SBAR (Situation, Background, Assessment & Recommendation) tool. 4.3 To ensure continuity of care, one ambulance clinician may wish to complete their Patient Clinical Record (PCR) in the resuscitation room, whilst the other makes the vehicle ready. 4.4 On completion of the PCR the yellow copy together with any ECG strips or patient notes/doctors letter, should be handed over. The crew will then inform control of their availability for further duties. 5
6 APPENDIX 1 Hospital Pre-Alert Form A.S.H.I.C.E. AGE SURNAME AGE D.O.B. / / SEX (Gender) Male Female HISTORY Type of pain? Onset of pain? INJURY/ ILLNESS Respiratory Rate Heart Rate Blood Pressure AVPU or GCS Trauma Score Intubated? Y N CONDITION Cannulated? Y N Drugs Given? Defibrillated? STEMI / NSTEMI? FAST TEST Normal / Abnormal Needle Crichothyrotomy [ ] Needle Thoracocentesis [ ] Intraosseous [ ] ETA (minutes) RECEIVING UNIT 6
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DESTINATION POLICY
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY I. PURPOSE DESTINATION POLICY Policy Reference No.: 5000 Supersedes: February 1, 2015 A. To identify the approved ambulance-transport destinations for the
More informationPRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL
PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL EXTRACT FOR USE BY NORTH WEST AMBULANCE SERVICE PARAMEDICS Revised April 2013 Liverpool Heart and Chest Hospital Aintree University Hospital Countess
More informationHEALTH CARE PROFESSIONAL (HCP) ADMISSIONS
HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS Information Booklet Contents Page No Content 1 Index 2 Introduction What is a HCP Admission? 3 Booking Transport Who is authorised to book HCP Admissions? Who
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2009-02 Emergency and Non-Emergency Patient Definitions 1/5/2009 2010-02
More informationDETERIORATING PATIENT POLICY GENERAL POLICY NO. 50
DETERIORATING PATIENT POLICY GENERAL POLICY NO. 50 Applies to: Committee for Approval Date of Approval September 2012 Date Ratified: September 2012 Review Date: September 2015 Name of Lead Manager Version:
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2010-04 Bariatric Patient Transports 12/17/2010 2012-01 DNR and POLST
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationNorth Carolina College of Emergency Physicians Standards for the Selection and Performance of EMS Performance Improvement
Performance Improvement North Carolina Performance Improvement Guidelines The purpose of this guideline is to provide direction to Agencies with respect to patient care based quality management performance
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2009-02 Emergency and Non-Emergency Patient Definitions 1/5/2009 2010-02
More informationGuide to the Anglia Ruskin Paramedic Science Practice Assessment Document
Guide to the Anglia Ruskin Paramedic Science Practice Assessment Document Valid for Academic Year 2016/7 www.anglia.ac.uk Page 1 Purpose of this document This document is to give you, and your mentor a
More informationOakland County Medical Control Authority System Protocols Transportation Protocol Section Transportation Protocol.
Purpose: To define the decision-making process to be followed by EMS personnel in order to ensure patients are transported to a facility appropriate for their condition. I. Transportation Procedure A.
More informationinterventional cardiac facility (see Appendix 2). Notify receiving hospital, as soon as possible of impending arrival of the patient and give ETA.
Page 1 of 9 Purpose: To define the decision-making process to be followed by EMS personnel in order to ensure patients are transported to a facility appropriate for their condition. I. Transportation Procedure
More informationHandover of Ambulance Patients in Emergency Departments
Handover of Ambulance Patients in Emergency Departments Document Number EMPPROT2013 001 Date Issued 14 th February 2013 Review Date February 2015 Purpose This document describes a standard national protocol
More informationRequesting Ambulance Transport (999 or Urgent) A Guide for Healthcare Professionals
Requesting Ambulance Transport (999 or Urgent) A Guide for Healthcare Professionals Contents Page No. Introduction... 3 Glossary of terms... 4 Which patients should have 999 or urgent ambulance transport
More informationBACKGROUND. Emergency Departments in Smaller Centres and Rural Communities
EXPECTATIONS OF PHYSICIANS NOT CERTIFIED IN EMERGENCY MEDICINE INTENDING TO INCLUDE EMERGENCY MEDICINE AS PART OF THEIR RURAL PRACTICE CHANGING SCOPE OF PRACTICE PROCESS BACKGROUND The CPSO Ensuring Competence:
More informationTrauma Logistics: The things to know ED Charge RN
The University East Bank Campus is verified by the American College of Surgeons as a Level II Trauma Center. We serve the metro and referring areas as a definitive care trauma center for our patients.
More informationCounty of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy #501: Hospital Radio Reports HOSPITAL RADIO REPORTS Effective: February 12, 2015 Replaces: January 22, 2008 Review: November 12, 2018 Resources:
More informationNational Quality Improvement Project 2018/2019 Vital Signs in Adult Information Pack
National Quality Improvement Project 2018/2019 Vital Signs in Adult Information Pack Introduction... 3 Methodology... 4 Inclusion criteria... 4 Exclusion criteria... 4 Flow of data searches to identify
More informationNorth Carolina College of Emergency Physicians Standards Policy Table of Contents
Policy North Carolina College of Emergency Physicians Standards Policy Table of Contents Disposition Policy Section 1. Criteria for Death or Withholding Resuscitation 2. Deceased Subjects 3. Discontinuation
More informationCERTIFICATE OF COMPLETION OF PAEDIATRIC LEVEL 1 COMPETENCY V1.0
Applicants applying for ST4 posts in paediatrics may use this certificate to successful, satisfactory completion of Level 1 paediatric competences, as defined in the RCPCH Level 1 Paediatrics and Child
More informationSOUTH CENTRAL AMBULANCE SERVICE NHS TRUST CLINICAL SERVICES POLICY & PROCEDURE EMERGENCY CARE ASSISTANTS. March 2011
SOUTH CENTRAL AMBULANCE SERVICE NHS TRUST CLINICAL SERVICES POLICY & PROCEDURE EMERGENCY CARE ASSISTANTS March 2011 DOCUMENT INFORMATION Author: Fizz Thompson Director of Clinical Services Consultation
More informationClinical Guideline Trauma Care: Accessing Trauma Services
Clinical Guideline Trauma Care: Accessing Trauma Services Guideline ID CG24 Version 1.2 Title Approved by Trauma Care: Accessing Trauma Services Clinical Effectiveness Group Date Issued 17/03/2017 Review
More informationThe ROHNHSFT Experience: Implementing BWCH PEWS
The ROHNHSFT Experience: Implementing BWCH PEWS Alison Warren Clinical Matron for Children and Young Peoples Services The Royal Orthopaedic Hospital NHS Foundation Trust RGN, RSCN, ENB 415 & 998 PG Cert
More informationCritical Care in Obstetrics Guideline
This is an official Northern Trust policy and should not be edited in any way Critical Care in Obstetrics Guideline Reference Number: NHSCT/12/515 Target audience: This guideline is directed to all obstetricians,
More informationOntario Ambulance. Documentation. Standards
Ontario Ambulance Documentation Standards Ministry of Health and Long-Term Care Emergency Health Services Branch April 2000 Ontario Ambulance Documentation Standards Part I - GENERAL For all Parts of the
More informationGuideline for the Management of Malpresentation in Labour, HSE Home Birth Service
Guideline for the Management of Malpresentation in Labour, HSE Home Birth Service Document reference number HB012 Document developed by Sub-group of the Clinical Governance Group for the HSE Home Birth
More informationModesto Junior College Course Outline of Record EMS 390
Modesto Junior College Course Outline of Record EMS 390 I. OVERVIEW The following information will appear in the 2011-2012 catalog EMS 390 Emergency Medical Technician 1 6 Units Limitations on Enrollment:
More informationNHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting
NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting 1. Introduction To standardise the type and frequency of observations to be taken on adult
More informationTitle: ED Management of Trauma Patient Protocol
Title: ED Management of Trauma Patient Protocol Document Category: Clinical Document Type: Protocol Department/Committee Owner: Emergency Department Original Date: August 2009 Approver(s) last review:
More informationResuscitation Policy Policy PROV 03
Resuscitation Policy Policy PROV 03 March 2009 1 Document Management Title of document PROV 03 Resuscitation Policy Type of document Description Target audience Author Department Directorate Approved by
More informationPOLICIES AND PROCEDURES
POLICIES AND PROCEDURES POLICY: 553.25 TITLE: EFFECTIVE: 4/13/17 REVIEW: 4/2022 SUPERCEDES: APPROVAL SIGNATURES ON FILE IN EMS OFFICE PAGE: 1 of 5 I. AUTHORITY Division 2.5, California Health and Safety
More informationModified Early Warning Score Policy.
Trust Policy and Procedure Modified Early Warning Score Policy. Document ref. no: PP(15)271 For use in (clinical areas): For use by (staff groups): For use for (patients): Document owner: Status: All clinical
More informationSAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DOCUMENTATION, EVALUATION AND NON-TRANSPORTS
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DOCUMENTATION, EVALUATION AND NON-TRANSPORTS Policy Reference No.: 4040 Review Date: February 1, 2011 Supersedes: August 1, 2008 TABLE OF CONTENTS I. PURPOSE
More informationRecognising a Deteriorating Patient. Study guide
Recognising a Deteriorating Patient Study guide Recognising a deteriorating patient Recognising and responding to clinical deterioration Background Clinical deterioration can occur at any time in a patient
More informationWESTCHESTER REGIONAL
WESTCHESTER REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL POLICY STATEMENT Supersedes/Updates: New Policy No. 11-02 Date: February 8, 2011 Re: EMS System Resource Utilization Pg(s): 5 INTRODUCTION The Westchester
More informationHOSPITAL MEDICAL OFFICER
Position Title: Classification: Reports To: Department: Award / Enterprise Agreement: Hospital Medical Officer Hospital Medical Officer HM13 Director of Emergency Services Emergency In accordance with
More informationStandard Operating Procedure Safe To Wait in Urgent Care Services
Standard Operating Procedure Safe To Wait in Urgent Care Services Reference No: G_CS_91 Version 2 Ratified by: LCHS Trust Board Date ratified: 5 th April 2018 Name of originator / author: Teresa McNally
More informationBoard Meeting. Date of Meeting: 28 September 2017 Paper No: 17/62
Oxfordshire Clinical Commissioning Group Oxfordshire Clinical Commissioning Group Board Meeting Date of Meeting: 28 September 2017 Paper No: 17/62 Title of Paper: Ambulance Response Programme Paper is
More informationCumbria and Lancashire Telestroke Network. Standard Operating Procedure: Alert for Redirection of FAST-Positive Patients during CT Scanner Failure
Standard Operating Procedure: Alert for Redirection of FAST-Positive Patients during CT Scanner Failure 1 Table of contents Cumbria and Lancashire Telestroke Network Page 1 Objective 1 2 Scope 2 3 Process
More informationStandard Policies Policy 4002
I. PURPOSE This policy identifies the procedure for determining the appropriate receiving facility for patients transported by ground ambulance to the Emergency Department (ED) of an acute care hospital.
More informationService Specification
Service Specification Minor Injuries Release: FINAL Date: 30/11/10 Author: Laura Smith Urgent Care Commissioning Manager NHS Derbyshire County Owner: Service Specification owner Owner s designation Owner
More informationWadsworth-Rittman Hospital EMS Protocol
Wadsworth-Rittman Hospital EMS Protocol Prehospital Advanced Life Support Protocol Revised: May 2004 Version 04.1 DISCLAIMER Every attempt has been made to reflect sound medical guidelines and protocols
More informationDRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service
DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject Emergency Medical Services Administrative Policies and Procedures First Responder Prehospital Care Report - BLS Policy Page 1 of 13 References
More informationHONG KONG SANATORIUM AND HOSPITAL INTENSIVE CARE UNIT (ICU) GUIDELINES ON ADMISSIONS AND DISCHARGES
HONG KONG SANATORIUM AND HOSPITAL INTENSIVE CARE UNIT (ICU) GUIDELINES ON ADMISSIONS AND DISCHARGES I. Principle The intensive care unit is operated on the principles of high turnover; ready accessibility
More informationPARAMEDIC REFRESHER COURSE
Essential Medical Training, LLC Providing Quality, Professional Training PARAMEDIC REFRESHER COURSE 48 hours of Continuing Education This course is approved by the Florida Bureau of EMS for continuing
More informationRECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS. Presented by Primary Health Care Team
RECOGNISING AND RESPONDING TO EARLY DETERIORATION OF ACUTELY ILL PATIENTS ON THE WARDS Presented by Primary Health Care Team 2013/2014 Aims of Session Any patient in hospital may become acutely ill, however,
More informationSTAG TRAUMA. Quality Indicators
STAG TRAUMA Quality Indicators Document Control Document Control Version Quality Indicators V3.3.doc Date Issued 03-09-2013 Author(s) Kirsty Ward Other Related Documents Comments to Angela Khan Document
More informationTime-Critical Transfer of the Sick or Injured Child (<16 years)
LRI Emergency Department Standard Operating Procedure for: Time-Critical Transfer of the Sick or Injured Child (
More informationChapter 4. Objectives. Objectives 01/08/2013. Documentation
Chapter 4 Documentation Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms introduced
More informationDNACPR Policy. Primrose Hospice. Approved by: Candy Cooley, Chairman Originator: Libby Mytton, Director of Care Date of approval: October 2016
Primrose Hospice DNACPR Policy Approved by: Candy Cooley, Chairman Originator: Libby Mytton, Director of Care Date of approval: October 2016 Signature: The Primrose Hospice Clinical Governance Committee
More informationEmergency Medical Services Program
County of Santa Cruz HEALTH SERVICES AGENCY 1080 EMELINE AVENUE, SANTA CRUZ, CA 95060 (831) 454-4120 FAX: (831) 454-4272 TDD: (831) 454-4123 EMERGENCY MEDICAL SERVICES PROGRAM Policy No. 7000 Reviewed
More informationChapter 59. Learning Objectives 9/11/2012. Putting It All Together
1 Chapter 59 Putting It All Together 2 Learning Objectives Discuss how assessment based management contributes to effective patient and scene assessment. Describe factors that affect assessment and decision
More informationObstetric Management Policy
Obstetric Management Policy Document status Approved Version 3.0 DOCUMENT CHANGE HISTORY Initiated by Date Author Trust Expert Strategic September 2007 Assistant Medical Director Clinical Group Version
More informationEMERGENCY MEDICAL SERVICES (EMS)
Bismarck State College 2018-2019 Catalog 1 EMERGENCY MEDICAL SERVICES (EMS) EMS 110. Emergency Medical Technician Credits: 4 Prerequisite: Completion of a healthcare provider level CPR (BLS) Course. Corequisites:
More informationAneurin Bevan University Health Board Handover during the Intrapartum period Guideline
Handover during the Intrapartum period Guideline N.B. Staff should be discouraged from printing this document. This is to avoid the risk of out of date printed versions of the document. The Intranet should
More informationJOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach.
JOB DESCRIPTION Safe, compassionate, effective care provided to our communities with a transparent, open approach. JOB TITLE: GRADE: BASE: MANAGED BY: Advanced Neonatal Nurse Practitioner Band 8a Homerton
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Subject References Emergency Medical Services Administrative Policies and Procedures Title
More information1. Receives report from EMS and/or outlying facility. 5. Adheres to safety and universal precaution guidelines.
Trauma Nurse Specialist 1. Receives report from EMS and/or outlying facility. 2. Reports to trauma room and signs in. 3. Relays reports to trauma team members. 4. Assists with resuscitation readiness:
More informationSerious Incident Report Public Board Meeting 28 July 2016
Serious Incident Report Public Board Meeting 28 July 2016 Presented for: Presented by: Author Previous Committees Governance Dr Yvette Oade, Chief Medical Officer Louise Povey, Serious Incidents Investigations
More informationLevel 3 Trauma Hospital Criteria
Level 3 Trauma Hospital Criteria Hospital Commitment The board of directors, administration, and medical, nursing and ancillary staff shall make a commitment to providing trauma care commensurate to the
More informationFrom care home to A&E. Terry Healy and Vicki Hirst
From care home to A&E Terry Healy and Vicki Hirst About us Busiest ambulance service in the UK Demand increase year on year. 1.9m calls received 2015-16 3,500 calls treated over the phone per week 5,000
More informationColorado CPR Directives. Colorado Department of Public Health and Environment Emergency Medical and Trauma Services Section
Colorado CPR Directives Colorado Department of Public Health and Environment Emergency Medical and Trauma Services Section Course Objectives Upon completion of this class, you should be able to: Identify
More informationCRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT
CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT Outreach Objectives To avert or ensure more timely admission to DCCQ To ensure that patients discharged from Critical Care continue to progress
More informationDo Not Attempt Resuscitation Policy
Do Not Attempt Resuscitation Policy PROV 27 March 2009 1 Document Management Title of document Do Not Attempt Resuscitation Policy Type of document Policy PROV 27 Description To ensure that do not resuscitate
More informationEMS System for Metropolitan Oklahoma City and Tulsa 2017 Medical Control Board Treatment Protocols
PROTOCOL 17A: Adult General Medical s Adult General Medical s Four (4) Levels of General Medical s Priority I and II Priority III No Will time and distance to the hospital of choice be detrimental to the
More informationExamination of the Newborn by Registered Midwives Protocol (CG484)
Examination of the Newborn by Registered Midwives Protocol (CG484) Approval and Authorisation Approved by Maternity Clinical Governance Committee Job Title or Chair of Committee Chair, Maternity Clinical
More informationPaediatric First Aid Level 3
Paediatric First Aid Level 3 This qualification provides theoretical and practical training in emergency first aid techniques that are specific to infants aged under 1, and children aged from 1 year old
More informationRECOMMENDATION FOR CONSIDERATION
Board Meeting Date: June 15, 2016 RECOMMENDATION FOR CONSIDERATION Subject: Critical Care Transfer of Care Data Elements and Form VTR#: 0616-04 Committee/Task Force: Critical Care Transport Task Force
More informationGuidelines for the Recognition and Treatment of Acute hypersensitivity reactions including anaphylactic shock in Adult Oncology & Haematology Patients
Guidelines for the Recognition and Treatment of Acute hypersensitivity reactions including anaphylactic shock in Adult Oncology & Haematology Patients Version Three Date of Publication: Version 1 - June
More informationSouth Central Region EMS & Trauma Care Council Patient Care Procedures
South Central Region EMS & Trauma Care Council Patient Care s Table of Contents PCP #1 Dispatch PCP #2 Response Times PCP #3 Triage and Transport PCP #4 Inter-Facility Transfer PCP #5 Medical Command at
More informationEMRTS Cymru Overview
EMRTS Cymru Overview (Published 07/04/16) 1 Who are we? The Emergency Medical Retrieval and Transfer Service (EMRTS Cymru) is an exciting new service that provides consultantdelivered pre-hospital critical
More informationthe victorian paediatric emergency transport service pets
the victorian paediatric emergency transport service pets The Victorian Paediatric Emergency Transport Service The Victorian Paediatric Emergency Transport Service (PETS) is based at the Paediatric Intensive
More informationThe acutely or critically sick or injured child in the District General Hospital: A team response
The acutely or critically sick or injured child in the District General Hospital: A team response Report of a Working Group with representatives from The Royal College of Paediatrics and Child Health The
More informationEmergency Medical Technician
PRECISION EXAMS Emergency Medical Technician EXAM INFORMATION Items 100 Points 100 Prerequisites NONE Grade Level 11-12 Course Length ONE YEAR DESCRIPTION The Emergency Medical Technician (EMT) course
More informationFirst Aid as a Life Skill. Training Requirements for Quality Provision of Unit Standard-based First Aid Training
First Aid as a Life Skill Training Requirements for Quality Provision of Unit Standard-based First Aid Training Page 2 of 14 Contents Introduction... 3 Application Date... 4 Section One: Framework Outline...
More informationResponse & Transportation
Contra Costa County EMS Agency Response & Transportation Table of Contents 4000 Administrative Policy Number Formally Public Safety / EMT AED Programs 4001 18 Patient Destination Determination 4002 9 Approved
More informationWelcome to the Anaesthesia and Perioperative Care Prioritisation Survey
Welcome to the Anaesthesia and Perioperative Care Prioritisation Survey We want you to nominate the most important topics for future research in anaesthesia and perioperative care. We are therefore asking
More informationNational Enhanced Service (NES) for Minor Injury Services
National Enhanced Service (NES) for Minor Injury Services Service Level Agreement PRACTICE Contents: 1. Finance Details 2. Signature Sheet 3. Service Aims 4. Criteria 5. Ongoing Measurement & Evaluation
More informationCLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0
CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 Page 1 of 13 Abbreviation (P/A)HDU (P/A)ICU GCS IPPV CPAP BiPAP DKA Reg Meaning (Paediatric/Adult) High Dependency
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: OP84 Version: 2.0 Name of Policy: Internal Patient Transfer and Escort Policy Effective From: 07/09/2015 Date Ratified 12/08/2015 Ratified SafeCare Council Review Date 01/08/2017 Sponsor Director
More informationCare of Critically Ill & Critically Injured Children in the West Midlands
Care of Critically Ill & Critically Injured Children in the West Midlands Heart of England HS Foundation Trust Appendix 2 Visit Date: 3 rd and 4 th October 2013 Report Date: December 2013 Images courtesy
More informationApplication of Simulation to Improve Clinical Efficiency Systems Integration
Application of Simulation to Improve Clinical Efficiency Systems Integration Hyun Soo Chung, MD, PhD Professor, Department of Emergency Medicine Director, Clinical Simulation Center Yonsei University College
More informationSaving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013
Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance
More informationCourse Title: Emergency Medical Responder 3 Course Number: Course Credit: 1. Course Description:
Course Title: Emergency Medical Responder 3 Course Number: 8417171 Course Credit: 1 Course Description: This course prepares students to be employed as Emergency Medical Responders. Content includes, but
More informationMonterey County EMS. Protocol & Policy Update, 2018
Monterey County EMS Protocol & Policy Update, 2018 Welcome Much change 43 policies created and revised Not to worry. Not all of the changes affect everyone 26 protocols created and revised 9 policies deleted
More informationFinal. Andrew McMylor / Dr Nicola Jones
NHS Standard Contract - Service Specification Service Specification Service Final 24hour Ambulatory Blood Pressure Monitoring (24hrABPM) Commissioner Lead Lead Andrew McMylor / Dr Nicola Jones Jeremy Fenwick,
More informationSepsis guidance implementation advice for adults
Sepsis guidance implementation advice for adults NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation
More informationTRAUMA UNIT OPERATIONAL POLICY
TRAUMA UNIT OPERATIONAL POLICY Document Author Written By: TARN Co-ordinator Authorised Authorised By: Chief Executive Date: 28/08/2016 Date: 13 th December 2016 Lead Director: Medical Director Effective
More informationHOSPITALS TO ENTER PATIENTS INTO THE
PATIENT CRITERIA FOR HOSPITALS TO ENTER PATIENTS INTO THE TRAUMA SYSTEM 1 THE ALABAMA TRAUMA SYSTEM IS UNIQUE NOT ONLY ARE THE TRAUMA HOSPITALS INSPECTED AND CERTIFIED BUT ALSO THEIR CRITICAL RESOURCES
More informationACUTE ISCHAEMIC STROKE (INPATIENT)
ACUTE ISCHAEMIC STROKE (INPATIENT) MODULE: ACUTE CARE TARGET: FY1 & FY2 TRAINEES AND FINAL YEAR MEDICAL STUDENTS BACKGROUND: Stroke is a major health problem in the UK accounting for approximately 11%
More informationRECEIVING HOSPITALS. APPROVED: EMS Administrator
Page 1 RECEIVING HOSPITALS APPROVED: EMS Administrator EMS Medical Director Assistant EMS Medical Director 1. Purpose: To provide paramedics and EMT-1's with information and guidance about the capability
More informationInformation regarding the grading within Student. Paramedic Practice Assessment Document (PAD)
Information regarding the grading within Student Paramedic Practice Assessment Document (PAD) This information booklet provides instruction on how to use the Student Paramedic Practice Assessment Document
More informationRegister No: Status: Public
Care of the Critically Ill Child Clinical Guideline Register No: 16025 Status: Public Developed in response to: Best practice Contributes to CQC Fundamental Standard 9, 12 Consulted With Post/Committee/Group
More informationInternational TRAINING CENTRE
_ International TRAINING CENTRE _ INTERNATIONAL TRAINING CENTRE We are pleased to introduce King s College Hospital London - International Training Centre (ITC). Our ITC s vision is to improve overall
More informationDRAFT. WORKING DRAFT Nursing associate skills annexe. Part of the draft standards of proficiency for nursing associates. Page 1
WORKING Nursing associate skills annexe Part of the draft standards of proficiency for nursing associates Page 1 Working draft version of the nursing associate skills annexe, part of the draft nursing
More informationSOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST
SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 19) STROKE CARE POLICY AND PROCEDURES September 2016 DOCUMENT INFORMATION Author: Dave Sherwood Assistant
More informationRapid Assessment and Treatment (R.A.T.) Team to the Rescue. The Development and Implementation of a Rapid Response Program at a Regional Facility
Rapid Assessment and Treatment (R.A.T.) Team to the Rescue The Development and Implementation of a Rapid Response Program at a Regional Facility Dynamics 2013 Lethbridge Chinook Regional Hospital 276 Bed
More informationBASE HOSPITAL PHYSICIAN ORIENTATION HANDBOOK
` BASE HOSPITAL PHSICIAN ORIENTATION HANDBOOK www.hsnsudbury.ca/portalen/basehospital BASE HOSPITAL PHSICIAN S ROLES AND RESPONSIBILITIES BASE HOSPITAL PHSICIAN (BHP) DEFINITION A physician that works
More informationPregnancy Information Sharing Pathway for Safeguarding Children (Midwifery, Health Visiting and Primary Care)
Pregnancy Information Sharing Pathway for Safeguarding Children (Midwifery, Health Visiting and Primary Care) July 2010 Originator: Women and Child Health /Primary Care/Safeguarding Team Submitted by:
More information